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1942994942
MACKENNA HAVENOR
ALBUQUERQUE, NM
NPI
1942994942
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NM 53325)
Enumeration Date
2023-06-05
Last Update Date
2023-06-05
Business Address
MACKENNA HAVENOR
2216 LESTER DR NE
ALBUQUERQUE, NM 87112-2607
Phone number: 505-296-4808
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Mailing Address
MACKENNA HAVENOR
3037 MACKLAND AVE NE
ALBUQUERQUE, NM 87106-2054
Phone number: 505-818-9757
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